| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $22.97 | $22.97 | $22.97 | |
Cigna
| Professional | $22.97 | $22.97 | $22.97 | |
United
| Professional | $21.62 | $22.52 | $33.78 |
Infusion Plasma Protein Fraction (Human) 5% 50 Ml (Special Coverage Instructions Apply. See Mcm: 2455b)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $22.97 | $22.97 | $22.97 | |
Cigna
| Professional | $22.97 | $22.97 | $22.97 | |
United
| Professional | $21.62 | $22.52 | $33.78 |